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CITY OF EVERETT <br />Utilities Division <br />w.o. No. � � 3 � <br />Sub Total Material Cost S <br />Total Material Cost 5 <br />i eRna nNfl Ff)IIIPMFNT ON PROJECT <br />' • •' ' �"""Yy�� � � � �� <br />���_- �_- <br />�► , �_- _ � � "'�_- <br />:I � �- " � ' �- <br />� - �� <br />�.C..� ..�� <br />���.. ..� <br />�...� .���. <br />�....... ��.... <br />Date Work Completed: <br />SignaWre of Foreman <br />COMMENTS: <br />Sub Total Labor Cost S <br />Total Lahor Cost 5 <br />Sub Totai Rental Cost S <br />Total Rental Cost 5 <br />Total Charges, Materials, Labor and Fentals 5 <br />� � <br />� <br />i . <br />/�.c�,��C�ME,✓/ v-F � ��C/ ��i���.�'9sT:C <br />,4�d sE-�rr� �6 ,�"/� ��/-� <br />